title: Jaw claudication in the era of carotid stenting.
abstract: Jaw claudication could result from external carotid artery (ECA) occlusive disease. Carotid artery stenting (CAS) has been shown to worsen the disease in the ECA. This could potentially worsen the symptoms in patients with pre-existing jaw claudication undergoing CAS. Meanwhile, ECA endarterectomy is routinely done during internal carotid artery endarterectomy (CEA). This has been shown to alleviate jaw claudication symptoms. We report a case of a high-risk patient for CEA who presented with symptomatic carotid disease as well as bilateral jaw claudication. Both symptoms resolved after CEA. We also present the case of another patient treated for recurrent high-grade carotid disease with CAS resulting in acute ECA occlusion and jaw claudication. High-risk patients with symptomatic carotid disease and jaw claudication should be considered for CEA and not only CAS.
authors.affiliation: Department of Surgery, Baylor College of Medicine, Michael E. DeBakey Veterans Administration Medical Center, Houston, TX, USA.
authors.forename: Huiting
authors.initials: H
authors.lastname: Chen
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kougias
authors.forename: Peter H
authors.initials: PH
authors.lastname: Lin
authors.forename: Carlos F
authors.initials: CF
authors.lastname: Bechara
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D016894:Endarterectomy, Carotid; D006801:Humans; D007383:Intermittent Claudication / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007571:Jaw Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008410:Masticatory Muscles / Q000098:blood supply*; D008875:Middle Aged; D012307:Risk Factors; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome